{"title":"降低医疗补助绝育等待期长度的影响模型:多站点队列研究。","authors":"","doi":"10.1016/j.contraception.2024.110531","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.</div></div><div><h3>Study design</h3><div>Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.</div></div><div><h3>Results</h3><div>In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.</div></div><div><h3>Conclusions</h3><div>As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110531"},"PeriodicalIF":2.3000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study\",\"authors\":\"\",\"doi\":\"10.1016/j.contraception.2024.110531\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.</div></div><div><h3>Study design</h3><div>Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.</div></div><div><h3>Results</h3><div>In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.</div></div><div><h3>Conclusions</h3><div>As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.</div></div>\",\"PeriodicalId\":10762,\"journal\":{\"name\":\"Contraception\",\"volume\":\"139 \",\"pages\":\"Article 110531\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contraception\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0010782424002191\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0010782424002191","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/21 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study
Objective
To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.
Study design
Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.
Results
In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.
Conclusions
As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.
期刊介绍:
Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.